A Rare Complication in an Untreated Horizontal Root Fracture Case

Abstract

Intra-alveolar root fractures in permanent teeth are rare following dental traumatic injuries. The diagnosis of root fractures depends on careful clinical and radiographic examination. The successful treatment of a root-fractured tooth involves repositioning and fixation. Although the outcome of a root fracture is generally favourable, complications such as pulpal necrosis, radicular resorption and pulpal canal obliteration can arise. A radicular cyst is an inflammatory cyst that develops as a result of untreated dental caries, with pulp necrosis and periapical infection following chemical, physical or bacterial injury. In this case report, the diagnosis and treatment of a rare case of a radicular cyst, which occurred as a result of pulp necrosis following horizontal root fracture, and an apical root fragment, which was displaced by the cystic lesion to the base of the nasal cavity, are presented.

Keywords

• Root fractures,radicular cyst,Cone-beam computed tomography

Tedavi edilmeyen Horizontal Kök Kırığı Olgusunda Nadir Bir Komplikasyon

Abstract

Travmatik diş yaralanmalarından sonra daimi dişlerde intra-alveolar kök fraktürleri nadir olarak görülmektedir. Kök kırıklarının tanısı dikkatli klinik ve radyografik muayanelere bağlıdır. Kök kırığı olan bir dişin başarılı bir şekilde tedavisi yeniden konumlandırmayı ve fiksasyonu gerektirir. Kök kırığının sonucu genellikle olumlu olmasına rağmen, pulpal nekroz, radiküler rezorpsiyon ve pulpa kanal obliterasyonu gibi komplikasyonlar ortaya çıkabilir. Radiküler kist, tedavi edilmemiş diş çürüğü, kimyasal, fiziksel veya bakteriyel hasar sonrası pulp nekrozu ve periapikal enfeksiyon sonucu gelişen bir inflamatuar kisttir. Bu olgu sunumunda, yatay kök kırığı sonrası pulpa nekrozu sonucu ortaya çıkan nadir bir radiküler kist olgusunun ile kistik lezyonla burun tabanı arasında yer değiştiren apikal kök kırığı parçasının tanı ve tedavisi sunulmaktadır.

Keywords

• Kök kırıkları,konik ışınlı bilgisayarlı tomografi, radiküler kist

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